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December 2016 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 5 STAR+PLUS Program : 5.2 STAR+PLUS Client Enrollment

5.2
Clients in a STAR+PLUS service area must choose an MCO and a PCP. To maximize enrollment, clients may enroll any of the following ways:
 
Clients may complete the STAR+PLUS Program enrollment form and send the form to the address on the postage-paid, self-addressed envelope provided with the form.
Enrollment forms are mailed to all eligible mandatory clients along with a brochure explaining the program and provider directories for each health plan.
If a client does not exercise the right to choose an MCO and PCP, the client will be assigned to a health plan and PCP. The following factors are considered when processing a default enrollment:
Benefits under the STAR+PLUS Program usually begin on the first day of the next month following the client’s selection of a managed care plan and PCP.
STAR+PLUS Example 1
The following example shows the eligibility dates for a client who selects a health plan and PCP before the designated cutoff date (approximately the 15th of the month):
 
STAR+PLUS Example 2
The following example shows the eligibility dates for a client who selects a health plan and PCP after the designated cutoff date (approximately the 15th of the month):
 

Texas Medicaid & Healthcare Partnership
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